Features

Sunlight and AMD

Disease
Dr Frank Eperjesi offers an update on the latest influences upon age-related macular degeneration and its risk factors.

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There is now clear evidence from population studies involving large numbers of subjects to prove that age-related macular degeneration is more common in older people1 (0.3 per cent for those younger than 70 years increasing to 10.1 per cent for those 80 years and above), in those that smoke tobacco, for example2,3 and for Caucasians4 (melanin in the iris, RPE and choroid is thought to protect against radiation damage).5 In contrast the evidence to support a relationship between sunlight exposure and AMD and refractive error and AMD is inconclusive. This article will review evidence linking sunlight exposure to AMD as well as summarise recent developments in the enhancement of macular pigment optical density through the use of nutritional supplements. Links between refractive error and AMD will be discussed in the second article.

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